Samuel George Harburg

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

1130 Quince St NE
Olympia, WA 98506-4057

Phone

(360) 481-0348

NPI assigned

Feb 19, 2021

Last updated

Feb 19, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1613692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1497348510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 QUINCE ST NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985064057",
            "telephone_number": "360-481-0348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 QUINCE ST NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985064057",
            "telephone_number": "360-481-0348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARBURG",
        "first_name": "SAMUEL",
        "middle_name": "GEORGE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-19",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WA",
            "license": null,
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janeen Harbert, PH.D., MA
• Cindy L Harbin, RN
• Harbor Health Solutions LLC (Team Select Home Care)
• Harbor Kids Dental
• Michael H Harburg, BA
• Sydney Hardcastle
• Charles Richard Harding, MD
• Rachael Lee Harding, CBT
• Stephen O Harding, M.A. MFT
• Daniel Hardman, PA-C

• Student in an Organized Health Care Education/Training Program in Olympia, WA
• Providers in Olympia, WA by specialty
• Student in an Organized Health Care Education/Training Program in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.